Costs associated with unplanned readmissions among patients with heart failure with and without hyponatremia

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Alpesh N AminShirin V Sundar

Abstract

Costs associated with unplanned readmissions among patients with heart failure with and without hyponatremia were studied. This study estimated the costs of patients hospitalized for heart failure (HF) discharged with or without corrected sodium. A model was developed to monetize the 30-day readmission risk based on hyponatremia correction. Costs of discharging patient with corrected versus uncorrected hyponatremia were estimated using readmission rates from a previously published study and hospitalization costs from the Healthcare Costs and Utilization Cost Project and the Premier Healthcare Database. Discharging patients with HF and hyponatremia increased costs from $488-$569 per discharge compared to patients with corrected hyponatremia. This range reflected differences in readmission rates and sources of hospitalization costs. Sensitivity analyses showed hospitalization costs and readmission rates had the largest impact on model results. A retrospective study supports the value of upfront monitoring and correction of low serum sodium levels before discharge among patients with HF and hyponatremia by presenting an economic argument in addition to the clinical rational for reducing risk of readmission.

References

Oct 10, 2007·Archives of Internal Medicine·Mihai GheorghiadeChristopher M O'Connor
Sep 2, 2008·Heart Failure Reviews·Dimitrios FarmakisMihai Gheorghiade
Sep 11, 2012·Journal of Hospital Medicine : an Official Publication of the Society of Hospital Medicine·Alpesh AminTimothy J Lowe
Aug 10, 2013·Clinical Cardiology·Marlow B HernandezGian M Novaro
Oct 11, 2013·World Journal of Cardiology·Theodosios D Filippatos, Moses S Elisaf
Jan 21, 2014·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Sean D SullivanWen-Yi Shau
Feb 12, 2015·Kidney International·Arthur GreenbergSamuel H Sigal
Jan 27, 2016·Circulation·UNKNOWN Writing Group MembersUNKNOWN Stroke Statistics Subcommittee
Mar 10, 2016·JAMA Internal Medicine·Jacques D DonzéJeffrey L Schnipper
Apr 10, 2016·The American Journal of Medicine·Giovanni CoronaAlessandro Peri
Mar 18, 2017·Journal of the American College of Cardiology·Clyde W Yancy

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Citations

Aug 20, 2020·PharmacoEconomics·Michael UrbichGian Luca Di Tanna

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